Individual
DOUGLAS J OBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
1101 SPRUCE ST, ELLIS, KS 67637-1757
(615) 896-6400
Mailing address
603 SUNSET, VICTORIA, KS 67671-9501
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800511
KS
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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